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Thread: UB92 or CMS1500 Claims form

  1. #1

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    UB92 or CMS1500 Claims form

    anyone have a clue where i can find these forms already done in .NET that will push the data to a sql server?

    here is what one of the forms looks like.


  2. #2
    Code Monkey wild_bill's Avatar
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    Re: UB92 or CMS1500 Claims form

    Cool, another insurance developer. I've been developing an application that creates output for the new CMS1500 form, and the UB-04. I've got some sweet code for tearing ANSI apart, but if you only have the form you'll need OCR software. How long do you plan on getting these forms? They should be obsolete in a couple months.

  3. #3

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    Re: UB92 or CMS1500 Claims form

    we have the OCR software covered but a request has come down that we have these forms online for providers to fill out and submit (secure portal). i found some nice adobe (designer 7.0) software but its limited on how you can save the data.

    what i'm needing:
    1. fill it out
    2. click submit
    3. save the data to a sql table

  4. #4
    Code Monkey wild_bill's Avatar
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    Re: UB92 or CMS1500 Claims form

    Do the users just add data to an aspx form?

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    Re: UB92 or CMS1500 Claims form

    yep, its starting to look like i will have to build the forms.


  6. #6
    Code Monkey wild_bill's Avatar
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    Re: UB92 or CMS1500 Claims form

    They're not too bad. I have created an aspx version of the UB-92. I would send you the html if you want it. If I was you, I would use the new forms to allow users to enter NPI if needed.

  7. #7
    MS SQL Powerposter szlamany's Avatar
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    Re: UB92 or CMS1500 Claims form

    So what part of the insurance world are you two in?

    I produce software for small self-insured health funds to adjudicate medical claims - we are finally starting to see a lot of EDI files coming in and going out.

    Do either of you produce software that you sell yourself?

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  8. #8
    Code Monkey wild_bill's Avatar
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    Re: UB92 or CMS1500 Claims form

    I work in a clearing house. What software are you looking for?

  9. #9
    MS SQL Powerposter szlamany's Avatar
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    Re: UB92 or CMS1500 Claims form

    I'm not looking for software - just making contacts - never know what's going to come up in the future...

    *** Read the sticky in the DB forum about how to get your question answered quickly!! ***

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  10. #10
    Code Monkey wild_bill's Avatar
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    Re: UB92 or CMS1500 Claims form

    We do host a web product that allows users to create ANSI on our system, wich we then forward to payers. It is also capable of uploading NSF, and a variety of other formats, wich it converts to ANSI.

  11. #11

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    Re: UB92 or CMS1500 Claims form

    Quote Originally Posted by szlamany
    So what part of the insurance world are you two in?

    I produce software for small self-insured health funds to adjudicate medical claims - we are finally starting to see a lot of EDI files coming in and going out.

    Do either of you produce software that you sell yourself?
    i've worked for a heath insurance company doing software and db dev for the last 5 years.

  12. #12
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    Re: UB92 or CMS1500 Claims form

    I need to go the other way... I need to take a UB92 printfile and parse it back into usable data. Anybody got that code yet?

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